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Open tibial fracture — RCPSC EM MCQ

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ModerateTraumaOpen tibial fractureRCPSC EM

CTAS 2: A 41-year-old has an open mid-shaft tibial fracture after a farm injury. Vitals are stable and distal pulses are present. The wound is contaminated with soil. Analgesia has been given and the limb is splinted. What is the most appropriate next step?

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Correct answer: A — Give intravenous antibiotics and update tetanus while arranging urgent orthopaedics

Open fractures require early IV antibiotics, tetanus assessment, sterile dressing, immobilisation, neurovascular documentation and urgent orthopaedic management.

Reference: ATLS; Canadian orthopaedic trauma practice